Shaina Aura Selva

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C88166 Issued in MD

Practice address

801 Middleford Rd
Seaford, DE 19973-3636

Phone

(302) 629-6611

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tidalhealth Physician Network, Inc.

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1467534636
  Medicare reassignment Care Compare group
• Emergency Service Associates PA

  • Emergency Medicine Physician
  • Salisbury, MD
  • NPI 1558340562

  DE

  Medicare reassignment
• Tidalhealth Physician Network, Inc.

  • Surgery Physician
  • Seaford, DE
  • NPI 1396558623
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tidalhealth Nanticoke, Inc

  • General Acute Care Hospital
  • Seaford, DE
  • NPI 1245214477
  Care Compare affiliation
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1710686092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 JACKSON DITCH RD",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199522472",
            "telephone_number": "302-943-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733636",
            "telephone_number": "302-629-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVA",
        "first_name": "SHAINA",
        "middle_name": "AURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C88166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaford Health Services LLC
• Seaford Injury Treatment Center II LLC
• Seaford Internal Medicine LLC
• Seaford Specialty Surgery Center LLC
• Seaford Volunteer Fire Department Inc.
• Ekta Sharma
• Cynthia Faye Sherman, R.N.
• Robin Shinnick, LCSW
• Amanda Renee Shockley, LMT CLT
• Kristen Shockley, PTA

• Surgical Physician Assistant in Seaford, DE
• Providers in Seaford, DE by specialty
• Surgical Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.